Provider Demographics
NPI:1154429561
Name:DUBLIN, HYLENE S (MSW, LCSW)
Entity type:Individual
Prefix:
First Name:HYLENE
Middle Name:S
Last Name:DUBLIN
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:560 GREEN BAY RD
Mailing Address - Street 2:SUITE #205
Mailing Address - City:WINNETKA
Mailing Address - State:IL
Mailing Address - Zip Code:60093-2238
Mailing Address - Country:US
Mailing Address - Phone:847-446-5570
Mailing Address - Fax:
Practice Address - Street 1:560 GREEN BAY RD
Practice Address - Street 2:SUITE #205
Practice Address - City:WINNETKA
Practice Address - State:IL
Practice Address - Zip Code:60093-2238
Practice Address - Country:US
Practice Address - Phone:847-446-5570
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical